How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $1,096.48 Typical High $1,445.44 | Professional | None | $912.01 | $1,096.48 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,862.09 Typical High $1,862.09 | Facility | None | $933.25 | $1,862.09 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $1,949.84 Typical High $3,548.13 | Professional | None | $1,819.70 | $1,949.84 | $3,548.13 |
Medica Setting Facility Modifier None Typical Low $1,071.52 Median $1,819.70 Typical High $7,943.28 | Facility | None | $1,071.52 | $1,819.70 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $575.44 Median $831.76 Typical High $1,380.38 | Professional | None | $575.44 | $831.76 | $1,380.38 |
Midlands Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $3,548.13 | Professional | None | $1,819.70 | $1,819.70 | $3,548.13 |
Midlands Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
Midlands Setting Professional Modifier None Typical Low $2,344.23 Median $3,548.13 Typical High $4,570.88 | Professional | None | $2,344.23 | $3,548.13 | $4,570.88 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
United Setting Professional Modifier None Typical Low $602.56 Median $831.76 Typical High $1,122.02 | Professional | None | $602.56 | $831.76 | $1,122.02 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $457.09 Median $549.54 Typical High $724.44 | Professional | 52 · Reduced service | $457.09 | $549.54 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $218.78 Typical High $288.40 | Professional | 53 · Discontinued | $181.97 | $218.78 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $162.18 Typical High $218.78 | Professional | 55 · Aftercare only | $134.90 | $162.18 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $109.65 Typical High $144.54 | Professional | 56 · Pre-op care only | $91.20 | $109.65 | $144.54 |
Where Nebraska sits
The same service costs 2.6 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Nebraska· 20th of 51
$1,096
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.